NPI | 1598032963 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD DALE TEDDLETON Owner/Chiropractor 731-784-0042 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN DC0000000708) |
Enumeration Date | 2011-11-29 |
Last Update Date | 2012-02-13 |